Provider Demographics
NPI:1720736325
Name:BRIGHTLIGHT HEALTH, LLC.
Entity Type:Organization
Organization Name:BRIGHTLIGHT HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:DELYNN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-315-6418
Mailing Address - Street 1:2172 ROYALE CT APT A
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-7769
Mailing Address - Country:US
Mailing Address - Phone:616-315-6418
Mailing Address - Fax:
Practice Address - Street 1:459 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-1201
Practice Address - Country:US
Practice Address - Phone:616-315-6418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health